| Doctor Name: | MS. ANITA BUTLER |
| NPI Number: | 1063417038 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD, LD |
| License Number: | R08939 |
| Business Practice Address: | 150 River North Blvd Stephenville, TX - 764011803 |
| Business Phone Number: | 2549686051 |
| Business Fax Number: | 2549684950 |
| Mailing Address: | 150 River North Blvd, STEPHENVILLE |
| State: | TX |
| Postal Code: | 764011803 |
| Phone Number: | 2549686051 |
| Fax Number: | 2549684950 |
| NPI Enumeration Date: | 06/16/2005 |
| NPI Last Update Date: | 09/01/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133NN1002X |
| License Number: | R08939 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Nutritionist |
| Taxonomy Specialization: | Nutrition, Education |
| Taxonomy Definition: | |